Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.96 / $48.31 / $97.79	Facility	26	$25.96	$48.31	$97.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $98.40 / $256.14	Professional		$82.81	$98.40	$256.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $22.87 / $67.48	Professional	26	$19.78	$22.87	$67.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $78.23 / $188.65	Professional	TC	$59.92	$78.23	$188.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $31.19 / $80.12	Professional	26	$18.54	$31.19	$80.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $173.34 / $245.13	Professional		$118.06	$173.34	$245.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $35.61 / $50.37	Professional	26	$24.26	$35.61	$50.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.80 / $137.72 / $194.76	Professional	TC	$93.80	$137.72	$194.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $205.17 / $382.43	Professional		$154.82	$205.17	$382.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $51.06 / $74.95	Professional	26	$31.53	$51.06	$74.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.59 / $148.19 / $307.47	Professional	TC	$115.59	$148.19	$307.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $240.21 / $445.23	Professional		$135.16	$240.21	$445.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $48.04 / $91.48	Professional	26	$27.77	$48.04	$91.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.39 / $185.76 / $353.75	Professional	TC	$107.39	$185.76	$353.75
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $168.94 / $332.07	Professional		$90.97	$168.94	$332.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.04 / $72.13	Professional	26	$25.70	$35.04	$72.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.93 / $141.26 / $476.83	Professional	TC	$66.93	$141.26	$476.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $119.67 / $183.56	Professional		$84.31	$119.67	$183.56
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $24.22 / $32.76	Professional	26	$20.20	$24.22	$32.76
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $60.37 / $96.28 / $136.03	Professional	TC	$60.37	$96.28	$136.03